CHARLES J ROTH DDS INC NPI 1184816589

NPI Information

  • NPI: 1184816589
  • Provider Name: CHARLES J ROTH DDS INC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 412 CERNON ST STE C
    VACAVILLE, CA
    ZIP 95688
  • Phone: (707) 448-5339

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NPI Details

CHARLES J ROTH DDS INC is a dental clinic center in Vacaville, CA. CHARLES J ROTH DDS INC NPI is 1184816589. The provider is registered as an organization entity type.

The provider's business location address is:

412 CERNON ST STE C
VACAVILLE, CA
ZIP 95688-549
Phone: (707) 448-5339
Fax: (707) 447-0956

The provider's authorized official is Charles J Roth .
The authorized official title is President and has the following contact phone number (707) 448-5339.

The enumeration date for this NPI number is 8/10/2007 and was last updated on 8/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalDL 28481CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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